Individual provider Active NPI

Sharon Terrelonge, RN

  • Family Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1912218512
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338375 Issued in NY
Practice address
33 Clarendon Dr
Valley Stream, NY 11580-2503
Phone
(516) 376-4467
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 5487671 NY
Family Nurse Practitioner 363LF0000X 338375 NY Primary
Registered Nurse 163W00000X 548767-1 NY

Addresses

Primary practice location

33 Clarendon Dr
Valley Stream, NY 11580-2503

Mailing address

33 Clarendon Dr
Valley Stream, NY 11580-2503
Phone (516) 376-4467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211211000027 NY Practitioner - Nurse Practitioner 0345630083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
548767-1NYMDRegistered Nurse
5487671NYMDSchool Registered Nurse
338375NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Instruction Project Community Services, Inc. CurrentSince Sep 9, 2021 Accepting new patients
Vocational Instruction Project Community Services Inc PastSince Jun 21, 2020 Accepting new patients
Vocational Instruction Project Community Services Inc Past Accepting new patients

Locations

770 E 176th St
Fl 4
Bronx, NY 10460
Phone (718) 583-5150

770 E 176th St
Bronx, NY 10460
Phone (718) 466-8034

770 E 176th St
Fl 3
Bronx, NY 10460
Phone (718) 583-5150

770 E 176th St
Fl 2
Bronx, NY 10460
Phone (718) 583-5150

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sharon.terrelonge@vipcs.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1912218512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CLARENDON DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802503",
            "telephone_number": "516-376-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CLARENDON DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802503",
            "telephone_number": "516-376-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELONGE",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "5487671",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338375",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "548767-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.